AU - Sh. Chaichian M.D, AU - A.Mehdizadeh,MD, AU - A.R. Akbarian M.D, TI - A Comparison between two surgical methods in the treatment of T.O.A. PT - JOURNAL ARTICLE TA - iau-tmuj JN - iau-tmuj VO - 14 VI - 1 IP - 1 4099 - http://tmuj.iautmu.ac.ir/article-1-236-en.html 4100 - http://tmuj.iautmu.ac.ir/article-1-236-en.pdf SO - iau-tmuj 1 ABĀ  - Introduction: Pelvic abcess is one of the most dangerous & distressfull gynecologic disorders , that causes controversy among authors for treatment methods. Objectives: This comparative study was performed in the aim of evaluation af laparoscopy & laparotomy methods in the T.O.A. (tubo- ovarian-abcess) Meterial & methods: This was a prospective controlled new method evaluation study, that porformed on patients who needed surgery for treatment of T.O.A. during 8 years since 1995 till 2002 at Rasoul Akram Hospital. Findings: In this study 22 women underwent surgery. Surgical method selected on the basis of patients age, symptoms , signs & findingss during therapy. It was no difference between two groups from the standpoint of antibiotictherapy. In laparoscopy group mean duration of addmission was 2 days shorter than laparatomy group . 80% of genital organs preserved in laparoscopy group . chronic pelvic pain Persisted 2 years after operation in 39% of patients of laparotomy group and only in 27% of patients in laparoscopy group. Conclusion : From prsent & other studies we can conclude that laparoscopy for the treatment of T.O.A. specially in younger patients is a very good choice & perhaps it will be the standard method of surgery for preserving of fertility abilities in these patients at the near future. CP - IRAN IN - LG - eng PB - iau-tmuj PG - 7 PT - YR - 2004